Cancer care in Richmond, Virginia

Johnston-Willis Hospital is proud to join the leading network of cancer experts from Sarah Cannon—the global cancer institute of Hospital Corporation of America (HCA)—to create a new era of collaborative oncology in Richmond, Virginia.

Sarah Cannon - Cancer Institute at Johnston-Willis Hospital. A Campus of CJW Medical Center.

This network consists of an unrivaled team of trusted, local providers throughout HCA Virginia, as well as global cancer resources that are unmatched by any single cancer center.

For cancer questions, or to learn more about our cancer care center, call us 24/7 at (804) 591-4152.

Together, we are redefining cancer care so that each person facing cancer can fight the disease with the help of their own community, friends and family nearby.

Every detail of our cancer care facility in Richmond, Virginia was designed to make your treatment as convenient and comfortable as possible. While other facilities may ask you to visit different buildings and locations for diagnosis, surgery, chemotherapy, radiation therapy and follow-up appointments, we’ve integrated these critical components of your treatment under one roof—just a few steps from free valet parking and designated parking for patients undergoing treatment.

Comprehensive cancer care and support

At Sarah Cannon Cancer Institute at Johnston-Willis Hospital, you will have a team of cancer experts in Richmond, Virginia working together to provide you with the best treatment at the right time in your journey. Your oncology team at Johnston-Willis includes:

  • Specialized physicians
  • Oncology-certified nurses
  • Specialized pharmacists
  • Oncology social workers
  • Chaplains
  • Dietitians
  • Rehabilitation specialists (including specialists in lymphedema therapy)
  • Oncology nurse navigators

Regardless of the type of cancer you have or treatment you undergo at Johnston-Willis, you gain access to a variety of cancer-related resources, including:

  • Clinical trials
  • The Hawthorne Cancer Resource Center, which provides educational materials and a resource library
  • Cancer survivorship planning
  • Support groups to guide you from diagnosis through treatment, recovery and life after cancer

Stages of cancer

Our oncology team will perform exams to determine the stage of your cancer, which helps guide your treatment plan. All cancers are staged from stage I through stage IV. Stage I is a very localized cancer, while stage IV indicates the cancer has spread to other parts of the body.

Early detection of cancer is critical to achieving the best possible outcome for every patient.

Types of cancer we treat

Together with Sarah Cannon, we offer you integrated cancer care services with convenient access to leading-edge therapies.

Our providers have decades of experience in screening, diagnosing and treating cancers, including, but not limited to:

Types of blood cancers treated

Our dedicated cancer care team in Richmond, Virginia is committed to providing the best treatment to patients facing a variety of blood cancers and disorders, such as:

  • Hodgkin lymphoma and non-Hodgkin lymphoma (NHL)
  • Leukemia, including chronic lymphocytic leukemia (CLL) and chronic myeloid leukemia (CML)
  • Myeloma, including multiple myeloma
  • Aplastic anemia
  • Autoimmune diseases
  • Myelodysplastic syndrome (MDS)

Blood cancer treatment

At Johnston-Willis Hospital, your personalized blood cancer treatment plan may include:

  • A multidisciplinary care team, including a designated hematopathologist specifically trained in blood diseases
  • Expanded laboratory capabilities for quicker results
  • Nutritional counseling
  • Psychosocial oncology and distress assessment
  • Infusion services staffed by chemotherapy-certified nurses who provide ongoing education and support
  • On-site radiation therapy services

Brain tumor program

Johnston-Willis Hospital was the first of only two hospitals in the U.S. to receive The Joint Commission Gold Seal of Approval for brain tumor care. We treat cancerous and non-cancerous tumors, and patients travel from all over for our brain tumor expertise.

Learn more about brain tumor treatment at Johnston-Willis.

Breast cancer program

As a National Accreditation Program for Breast Cancers (NAPBC), Johnston-Willis Hospital’s breast cancer experts screen, diagnose and treat a variety of breast cancers in both men and women.

Learn more about breast cancer care at Johnston-Willis Hospital.

Gastrointestinal cancers

Gastrointestinal cancers, also called GI cancers, affect the organs in your body that are part of the digestive system. Our gastrointestinal and colorectal oncologists in Richmond, Virginia are experts at treating a variety of GI cancers, including:

  • Colon cancer
  • Esophageal cancer
  • Stomach cancer
  • Pancreatic cancer
  • Cancers of the small or large intestine
  • Cancers of the liver and bile ducts
  • Neuroendocrine cancer
  • Anal cancer

Colorectal cancer (rectal and colon cancers) is the third most common cancer diagnosed in men and women—according to the American Cancer Society— affecting 1 in 22 men and 1 in 24 women. A colonoscopy is an effective method for diagnosing rectal and colon cancer, and regular screenings can detect colorectal cancer early.

GI cancer screening and diagnosis

Typically, GI cancers are diagnosed after an initial screening is performed on a patient whose symptoms led to a doctor visit. Based on your symptoms, your provider will order more tests, such as imaging studies and bloodwork. Additional tests to confirm the presence and stage (spread) of GI cancer may include:

  • Biopsy
  • Magnetic resonance cholangiopancreatography (MRCP)
  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Endoscopic ultrasound with fine needle aspiration biopsy
  • CT scan
  • CT/PET scan
  • MRI

GI cancer treatment

Treatment for each type of GI cancer will vary. At Johnston-Willis, you will receive an individualized care plan for your specific type of GI cancer.

Because of the complexity of gastrointestinal cancer, Johnston-Willis has a group of expert providers (part of a multidisciplinary care team) that meets weekly to review each case of colon, rectal, esophageal, pancreatic and stomach cancer and develop a comprehensive care plan for the every patient.

Types of gynecologic cancers treated

It is best to seek treatment from a gynecologic oncologist if you've been diagnosed with any kind of gynecologic cancer. Our gynecologic oncology team provides expert care for individuals with gynecologic cancers, including:

  • Cervical cancer
  • Ovarian cancer
  • Endometrial cancer
  • Uterine cancer

Gynecologic cancer screening and diagnosis

Gynecologic cancer screening begins with yearly pelvic exams and Pap smears at your doctor’s office. The Pap test is one of the most reliable and effective cervical cancer screening tests available. Your doctor may also use the HPV test to screen for cervical cancer, which can provide more information if you receive an unclear Pap test result.

Discussing any abdominal pain or urinary issues can help your doctor determine if additional tests are needed to screen for other gynecological cancers, such as ovarian cancer.

Gynecologic Cancer Treatment

At Johnston-Willis Hospital, we recognize the importance of treating not only the disease but you as an individual. Our goal is to work together to restore your quality of life and give you the emotional support you need. Our team will guide you through the process of determining the least invasive and most effective gynecologic cancer treatment options.

Your gynecologic oncology treatment may include:

Whatever your course of treatment involves, our specialists are here to care for you.

For more information about our gynecologic cancer services, please call (804) 320-DOCS(3627).

Types of head and neck cancers treated

At Sarah Cannon Cancer Institute at Johnston-Willis Hospital, we are able to treat a variety of head and neck cancers, including those that affect the:

  • Oral cavity
  • Pharynx
  • Larynx
  • Paranasal sinuses
  • Nasal cavity
  • Salivary glands

Head and neck cancer treatment

Your head and neck cancer treatment at Johnston-Willis Hospital may include:

  • Hyperbaric oxygen therapy at Chippenham Hospital for improved healing capacity
  • Inpatient and outpatient speech pathology
  • Nutritional counseling
  • Psychosocial oncology and distress assessment
  • Infusion services staffed by chemotherapy-certified nurses who provide ongoing education and support
  • On-site radiation therapy services

For more information about our head and neck cancer services, please call askSarah at (804) 591-4152.

Lung cancer program

When you choose Sarah Cannon Institute at Johnston-Willis Hospital for your lung cancer care, you’ll gain a team of oncology experts known for their clinical excellence and cutting-edge research conveniently located close to home.

Our program's diverse team of specialists, advanced resources and full continuum of lung cancer care are important qualities that have helped us earn the trust and confidence of our patients and referring providers.

Lung cancer screening

Screenings are important for people at high risk of developing lung cancer because the scans detect cancer in earlier stages before most symptoms occur. Lung cancer screenings at Johnston-Willis are available through low-dose CT scans.

You may be a good candidate for a lung cancer screening if you:

  • Are between the ages of 55 and 77.
  • Are still smoking or have quit in the last 15 years.
  • Have smoked at least 30 pack years (multiply the number of packs smoked per day by the number of years smoked).

If you think you are a good candidate, please contact your primary care physician or pulmonologist.

Lung cancer diagnosis

We use the most advanced technologies and procedures to ensure the most accurate diagnosis at Johnston-Willis. Our advanced lung cancer diagnosis services include:

  • Bronchoscopy
  • Co-registered imaging combining positron emission tomography (PET) and computerized tomography (CT) technologies (PET/CT)
  • A dedicated thoracic imaging specialist
  • Endobronchial ultrasound (EBUS)
  • Genetic and biochemical specimen analysis
  • Image-guided needle biopsy and needle aspiration
  • Mediastinoscopy/mediastinotomy
  • Magnetic resonance imaging (MRI)
  • Thoracentesis
  • Thoracotomy (surgery)

Lung cancer treatment

The goal of early stage lung cancer treatment is to remove as much of the cancer as possible, while preserving as much of the lungs and their function as possible. Your treatment plan will often include a combination of approaches based on the characteristics of the cancer and your age, general health and prognosis.

At Johnston-Willis, your lung cancer treatment plan may include:

    • Surgery
    • Radiation therapy
    • Chemotherapy
    • Immunotherapy

Types of skin cancer treated

Skin cancer is caused by the uncontrolled growth of abnormal skin cells, and it’s one of the most common cancers diagnosed every year.

Our cancer care experts treat multiple types of skin cancer, including but not limited to:

      • Basal cell carcinoma
      • Squamous cell carcinoma
      • Melanoma

Skin cancer treatment

Your cancer care treatment plan is a collaborative effort by our multidisciplinary team and may include on-site radiation therapy services and plastic and reconstructive surgery options.

Thyroid cancer program

Thyroid cancer develops from the tissues of the thyroid gland (the organ at the front of the neck that forms the Adam's apple). At Sarah Cannon Cancer Institute at Johnston-Willis Hospital, our cancer care team uses the least invasive therapies available to treat thyroid cancer at the earliest stage possible.

Thyroid cancer treatment

Our highly trained providers and staff perform a wide range of advanced thyroid cancer treatment options. We work with you to determine the best plan to restore your quality of life.

Your thyroid cancer treatment at Johnston-Willis Hospital may include:

For more information about our thyroid cancer services, please call askSarah at (804) 591-4152.

Types of urological cancers treated

Urologic cancer affects both men and women. The urological oncologists at Johnston-Willis efficiently treat a variety of urological cancers, including:

      • Bladder cancer
      • Kidney cancer
      • Prostate cancer
      • Testicular cancer

About prostate cancer

Prostate cancer is one of the most common urological cancers. According to the American Cancer Society, the disease affects 1 in 9 men. Our expert team of oncologists use the least invasive and most advanced therapies available to treat patients with prostate cancer and all other urological cancers.

Urologic cancer treatment

Treatment plans for urological cancer include both surgical and nonsurgical therapies. Our cancer care team in Richmond, Virginia provides everything you need from initial diagnosis and staging (extent of spread) through treatment and follow-up care.

Your urologic cancer treatment at Johnston-Willis Hospital may include:

      • Minimally invasive surgical options with the da Vinci robotic surgical system for a faster recovery
      • A multidisciplinary team approach to care
      • Chemotherapy for bladder cancer (including chemotherapy drugs sent directly to the bladder through a catheter)
      • Diagnosis and removal of bladder cancer using minimally invasive transurethral resection of the bladder (TURB) surgery
      • On-site radiation therapy services
      • Psychosocial oncology and distress assessment
      • Infusion services staffed by chemotherapy-certified nurses who provide ongoing education and support

For more information about our urologic cancer services, please call askSarah at (804) 591-4152.

Metastasized cancer program

Cancers that have spread from the primary site to other areas in the body are called metastasized cancers. Sarah Cannon Cancer Institute at Johnston-Willis Hospital uses a team approach to metastasized cancer care. The metastatic cancer team at Johnston-Willis Hospital includes surgeons, medical oncologists, radiation oncologists, nurse navigators, nutritionists, social workers and chaplains. Your dedicated team of providers deliver advanced care in a supportive manner, guiding you and your family throughout your cancer journey.

Metastatic Cancer Treatment

Your metastatic cancer treatment at Johnston-Willis may include:

      • Palliative care services to relieve symptoms and side effects
      • Infusion services staffed by chemotherapy-certified nurses who provide ongoing education and support
      • On-site radiation therapy services
      • A team approach to your care, including weekly multidisciplinary meetings to discuss treatment plans
      • Second opinion for management of metastatic cancer

For more information about our metastatic cancer services, please call askSarah at (804) 591-4152.

Cancer treatments in Richmond, Virginia

Sarah Cannon Cancer Institute at Johnston-Willis Hospital is a Comprehensive Community Cancer Program in Richmond, Virginia accredited by the American College of Surgeons Commission on Cancer. Using the latest advances in medicine, we provide comprehensive cancer treatments to our patients, including surgery, chemotherapy, biotherapy, infusion therapy, immunotherapy, radiation therapy and radiofrequency ablation.

Surgery

Surgery remains a key component of cancer care and the most common treatment for many patients. In addition to tumor removal surgery, surgeons may perform other procedures to diagnose cancer, support cancer-related procedures (such as inserting a chemotherapy port) or reconstruct damaged tissue.

The specialists and surgical oncologists at Johnston-Willis maintain high standards of practice and a multidisciplinary approach to cancer care, intervention and lifelong follow-up. You’ll have access to the most up-to-date surgical services for cancer, including:

Chemotherapy, biotherapy and infusion therapy

To support your active life beyond your illness, we offer both inpatient and outpatient chemotherapy and infusion therapy.

Chemotherapy and biotherapy use powerful medications to treat cancer by destroying cancer cells or stopping them from growing. These medications can be delivered in several ways, including orally or via IV therapy, intrathecal administration, or intramuscular, subcutaneous or intra-arterial injection.

Infusion therapy delivers medications through a catheter. Some therapies deliver medication to all cells, and some procedures focus on a specific organ or location in the body. Targeted therapies direct medications to a specific site and destroy cancer cells with an intense dose of the chosen drug while sparing nearby tissue.

Immunotherapy

Immunotherapy provides medication to stimulate or boost a person's immune system to destroy cancer cells. It can also help the immune system recognize and fight the tumor. This is a new field of cancer treatment with many exciting developments for the future of cancer care.

Radiation therapy

Radiation therapy uses high-energy radiation to minimize or kill cancer cells. Types of radiation therapy we offer include external-beam radiation therapy, image-guided radiation therapy and brachytherapy (internal radiation therapy).

Johnston-Willis is the only hospital in Central Virginia to have and use the Gamma Knife® (a minimally invasive stereotactic radiosurgery tool used to treat certain brain tumors and other diseases in the brain). This type of radiation therapy is painless, and because there is no incision, recovery time is reduced. Most patients leave the hospital the same day as the treatment.

We also offer Trilogy image-guided radiation therapy. Trilogy is one of the most innovative radiation therapy tools available today. It combines image guidance technology with one of the most powerful, precise radiation beams available. As a result, Trilogy targets tumors more precisely than other options and shortens treatment times.

Radiofrequency Ablation (RFA)

A minimally invasive treatment, radiofrequency ablation (RFA) may be provided as an alternative when surgery is not the best options for certain types of cancer. RFA involves inserting a fine needle into the tumor to deliver high-frequency electrical energy, which heats and destroys the tumor without affecting the healthy tissue nearby. Tumor cells die over a period of time following the treatment.

Award-winning cancer care under one roof

Experience and convenience are priorities when you're researching for the right cancer treatment facility. Several national accrediting institutions have recognized Sarah Cannon’s cancer care team at Johnston-Willis for their excellence in care. Accreditations and awards received include: